Jacob Shockley

NPI #1073710877 in Norman, Oklahoma

Provider Information

NPI Number: 1073710877
Entity Type: Individual
Name: Jacob Shockley
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 27, 2007
Last Updated: Jun 12, 2013

Practice Location

Address: 440 MERCHANT DR
City: Norman
State: Oklahoma
ZIP Code: 73069-6470
Phone: (405) 579-1600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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